1 The situation, expansion plansHIV and TB in South Sudan The situation, expansion plans 31 May 2017

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3 TB and HIV situation in IDPsMortality due to TB/HIV/AIDS increased from In 2014/5, TB/HIV&AIDS were fifth (6.6%) top causes of mortality among IDPs By Aug 2016, TB/HIV/AIDS is the leading cause of death in IDPs with 112 deaths (12.6% - proportionate mortality) 86% of all reported deaths due to TB & HIV reported from Bentiu PoC (60), Juba 3 PoC (26) and Malakal PoC (10

4 Proposed expansion areas 2017TB HIV Upper Nile: Malakal hospital , Malakal Military, Renk, Bentiu, Paloch, Melut, Kodok, John Dau-Duk, Pibor Refugee & IDPs: Mingkaman PHCC, Jamjang PHCC, Yida PHCC, Lokichokio, Gorom Refugee Settlement, Juba 3 PoC, Kakuma Bahr el Ghazel: Marial Lou, Raja Hospital, Abyei Hospital, Mother Teresa, Mayen Abun, Akon PHCC, Alek PHCC, St. Daniel Comboni, Wau Military, Adol PHCC Equatoria: Chukudum PHCC, Kapoeta Hospital, Police Hospital, Terekeka PHCC, Mundri Hospital, Kaya PHCC, Aru Junction PHCC, Juba Military Hospital, Juba Teaching Hospital There are a total of 87 TB diagnosis and treatment facilities 74 functional and 13 none functional In 2017 – plan is to revitalize the 13 non-functional and expand to 6 additional facilities

5 Mental Health and Psychosocial Support during and after emergencyWHO definition of Health Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. No Health without Mental Health

6 World Health OrganizationImpact of Disasters on Prevalence of Mental Disorders: (expected medians across countries & level of adversity exposure)‏ April 22, 2009 This slide is about patterns, not about absolute numbers Source: van Ommeren et al. BMJ; 330:1160-1; 2005,

7 Immediate response Adapt mhGAP – HIG for use within the PHC system th June 2017 Train trainers: th – 17th June 2017 Supervise implementation at the PHC level Phased implementation supervisors for 1st 3months

8 Key global policies and resources to guide implementationWorld Health Organization Key global policies and resources to guide implementation April 22, 2009 Sphere (2011), IASC (2007, 2010)